Medical Staff Quality Coordinator ( FT) AdventHealth Tampa
Location Address: 3100 East Fletcher Avenue Tampa, Florida 33613
Top Reasons to Work at AdventHealth Tampa
Florida Hospital Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
Surgical Pioneers â“ the first in Tampa with the latest robotics in spine surgery
Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
Awarded the Get With The Guidelines â“ Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.
Full Time- Days- MON- FRI
You Will Be Responsible For:
Utilizing critical thinking skills and medical knowledge of clinical care guidelines to review and analyze the appropriateness of practitioner medical management on the basis of established quality indicators with associated thresholds/goals and national clinical care guidelines based on best practice recommendations.
Performs medical record review of cases to determine appropriateness of patient care based on evidence-based outcomes and clinical guidelines approved by the medical staff. Responsible for generating a summary sheet from the designated Quality data resources for review by the Chairperson of the Peer Review and the Credentialing Committees.
Collects, aggregates, and displays data as requested for Peer Review meetings, and other medical staff quality committees and meetings.
Duties may include assisting Department Chairman/Chiefs and Peer Review Physician Reviewers in their review of a case by providing support documentation and resources such as current Policies and Procedures, Medical Staff Bylaws and Rules and Regulations.
Facilitating, coordinating and performing physician performance evaluations (ongoing and focused) in accordance with regulatory and facility requirements. Responsibilities include generating (and available upon request) a Practitioner Performance Report biannually that details the practitioner's performance related to quality of care indicators with established acceptable thresholds and goals.
Coordinate and facilitate various quality meetings relating to practitioner performance. Collaborates with Department Chairman, Chief Medical Officer, Administrative Director of Quality and Physician Peer Review Chairman to identify process deficits, trends and/or practice patterns.
Document minutes for various meetings, compose and send correspondence related to practitioner quality issues and utilize appropriate software applications to document data.
Attends department and committee meetings as required. Responsibilities may include preparation of agenda and materials for presentation.
Collaborate with practitioners to provide explanation regarding quality issues, and outcomes reported via quality department dashboards, and performance reports.
Provides the Patient Safety Organization (PSO) Laison required documentiontion for timely submission of Quality/Peer Review data to the PSO.
Collaborates closely with the Risk Management Department regarding the recognition, research, isolation and resolution of potential problems.
Supports and assists the Quality Management Resources associates to obtain documents and assemble medical staff credential quality files, when requested.
Works collaboratively with a wide range of healthcare professionals including providers, other healthcare leaders and medical records personnel.
Provides education regarding quality expectations, regulatory requirements, Ongoing Professional Practice Evaluation, Focused Professional Practice Evaluation and Policy and Procedures to onboarding practitioners.
Continually assesses and improves upon the tools and mechanisms for which information is gathered for FPPE/OPPE activities including indicator selection and application.
Prepare OPPE / FPPE report for committee review and develop approval system
Train chairs, division chiefs, and local users how to use the OPPE / FPPE system -ensure profiles and subspecialties are kept up to date and accurate.
Liaison with Medical Staff Divisions for development, coordination and integration of metrics
Assist as required with coordination and preparation in anticipation of accreditation and regulatory surveys and respond appropriately during survey activity. Assist with the development and implementation of plans of action for any and all applicable survey findings.
Utilizes superior discretion and ability to maintain confidential sensitive Physician Peer Review, OPPE/FPPE information. Uses appropriate safeguards to prevent inappropriate use or disclosure of confidential case review information.
Complies with established corporate and departmental policies, procedures, objectives, quality assurance methods, and safety codes. Demonstrates compliance with licensing, regulatory and accrediting agency provisions as required.
Other duties as assigned
KNOWLEDGE AND SKILLS REQUIRED:
Prior experience in quality management and/or utilization/resource management activities such as chart reviews, data extraction, data collation, data analysis.
Word processing (PC applications) skills, able to prepare reports and simple tables.
Strong organizational, analytical and computer skills required.
Ability to organize and manage multiple projects simultaneously.
Ability to work with data that is of sensitive and confidential in nature.
Excellent interpersonal skills with the ability to communicate effectively both verbally and written.
Ability to interact professionally with all levels of staff, physicians and external partners.
EDUCATION AND EXPERIENCE REQUIRED:
Bachelor of Science in Nursing (BSN)
Minimum five (5) + yearsâ™ experience in an acute care setting setting
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
Registered Nurse (RN) with current Florida license
LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:
Certified Professional in Healthcare Quality (CPHQ)
Under the direction of Administrative Director of Quality, the Medical Staff Quality Coordinator is responsible for the coordination of physician professional practice evaluation process. This position supports medical staff initial practitioner credentialing and re-credentialing process and enhances compliance with regulatory requirements for Focused Professional Practice Evaluation (FPPE) and Ongoing Physician Performance Evaluation (OPPE) standards. Duties include comprehensive quality review of the medical record, abstraction, appropriate and accurate documentation of findings and review and analysis of clinical indicators related to practitioner medical management and practice patterns.
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.